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1265194484
FUSION DIRECT MEDICAL AND WELLNESS
STOCKBRIDGE, GA
NPI
1265194484
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Entity Type
Organization
Authorized Contact
YUDELKY BENTLEY
Owner
678-458-4299
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2021-10-06
Last Update Date
2021-10-06
Business Address
FUSION DIRECT MEDICAL AND WELLNESS
233 CLARKDELL DR
STOCKBRIDGE, GA 30281-5956
Phone number: 678-458-4299
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Mailing Address
FUSION DIRECT MEDICAL AND WELLNESS
PO BOX 551
ELLENWOOD, GA 30294-0551
Phone number: 678-458-4299
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